夫血淋者。是热淋之甚者则尿血。故谓之血淋。心主血。血之行通身。遍行经络。环腑
脏。劳热者则散失其常经络。渗入脬而成血淋也。
治血淋。小便中痛不可忍。白茅根散方。
白茅根（一两锉） 赤芍药（三分） 滑石（一两） 木通（三分锉） 子芩（三分） 葵
子（一
两） 车前子（三分） 乱发灰（一分）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。温服。如人行十里再
服。以瘥为度。
治血淋及尿血。水道中涩。痛遍经络腑脏。热甚则血散失其常经而成淋。宜服蘧麦
散方
蘧麦（一两） 车前子〔半斤（升）〕 滑石（二两） 郁金（一两） 乱发灰（半两）
川大黄
（
一两锉碎微炒） 生干地黄（二两）
上件药。捣细罗为散。每于食前。煎葱白汤调下二钱。
治血淋及尿血。水道涩痛。郁金散方。
郁金（一两） 蘧麦（一两） 生干地黄（一两） 车前叶（一两） 滑石（一两） 川
芒硝（一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。温服。如人行十里再
服。以瘥为度。
治血淋涩痛。宜服此方。
榆白皮（三两锉） 葵子（一合） 滑石（三两） 石苇（一两去毛） 蘧麦（一两） 生
干地黄
（一两）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。入笔头灰二枚。搅匀。
每于食前温服。
治血淋。小便疼痛不可忍。黄芩散方。
黄芩（一两） 鸡苏（一两） 滑石（一两） 小蓟根（一两） 生干地黄（一两） 木
通（一两
锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治血淋不绝。鸡苏散方。
鸡苏〔一（二）两〕 葵子（二两） 石膏（二两） 生干地黄（三两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入竹叶二七片。煎至六分。去滓。每于
食前温服。
治血淋疼痛不止。王不留行散方。
王不留行（一两） 甘遂（半两煨微黄） 葵子（一两半） 车前子（一两） 木通（一
两锉）
滑石（一两半） 赤芍药（半两） 桂心（半两） 蒲黄（半两） 当归（半两锉微炒）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治血淋。心神烦躁。水道中涩痛。不得眠卧。龙脑散方。
龙脑（一钱细研） 腻粉（一钱） 寒水石（半两） 白茅根（半两锉） 黄连（半两去须）
马牙硝（半两） 滑石（半两） 木通（半两锉） 伏龙肝（半两细研）
上件药。捣细罗为散。每服。煎竹叶汤调下一钱。如人行十里再服。
治血淋。烦热涩痛。眠卧不安。地龙散方。
地龙（一两微炒） 滑石（一两） 腻粉（一钱） 麝香（一钱细研） 自然铜（半两）
绿豆粉
（三分）
上件药。捣研令匀细。不计时候。煎甘草汤调下一钱。
治血淋心烦。水道中涩痛。宜服此方。
石燕（半两） 赤小豆（半两） 商陆子（半两） 红蓝花（半两）
上件药。捣细罗为散。每于食前。煎葱白汤调下一钱。
又方。
石苇（一两去毛） 当归（一两锉微炒） 蒲黄（一两） 赤芍药（一两）
上件药。捣细罗为散。每于食前。以暖酒调下三钱。
又方。
生干地黄（二两） 郁金（一两） 蒲黄（一两）
上件药。捣细罗为散。每于食前。煎车前子叶汤。调下一钱。
又方。
旱莲子（一两） 芭蕉根（一两）
上细锉。以水二大盏。煎取一盏三分。去滓。食前分为三服。
治血淋。脐腹及阴茎涩痛方。
岗谷树根皮（一两半） 桑黄（一两半微炙）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
金灯花（一两） 地柏花
上件药。阴干。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服
之。
又方。
薜荔藤（一握） 甘草（一分炙微赤）
上件药。细锉。以水一大盏。煎至七分。去滓。食前分为二服。
又方。
上用乌贼鱼骨。捣细罗为散。每于食前。以地黄汁调下一钱。
又方。
上用天灵盖。炙令黄色。捣细罗为散。每于食前。以新汲水调下一钱。
又方。
上用麻根十枚。捣碎以水二大盏。煎取一大盏。去滓。分为二服。如人行十里再服。
又方。\x
上用晚蚕蛾。研为末。每于食前。以热酒调下二钱。
血淋，是热淋的严重阶段，表现为尿血，因此称为血淋。心主司血液运行，血液通行全身，遍布经络，环绕脏腑。若因劳损产生内热，则血液会散乱失序，脱离正常的经络循行，渗入膀胱（脬），从而形成血淋。
治疗血淋，小便中疼痛难以忍受，用白茅根散方。
白茅根（一两，锉碎） 赤芍药（三分） 滑石（一两） 木通（三分，锉碎） 子芩（黄芩，三分） 葵子（冬葵子，一两） 车前子（三分） 乱发灰（一分）
以上药物，捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣，温服。如步行十里路程后再服一次，以病愈为度。
治疗血淋及尿血，尿道中涩滞不通，疼痛遍及经络脏腑，热势严重时血液散乱失其常道而成淋证，宜服用蘧麦散方。
蘧麦（荞麦，一两） 车前子（半斤） 滑石（二两） 郁金（一两） 乱发灰（半两） 川大黄（一两，锉碎，微炒） 生干地黄（二两）
以上药物，捣细并过细筛制成散剂。每次在饭前，用葱白汤调服二钱。
治疗血淋及尿血，尿道涩痛，用郁金散方。
郁金（一两） 蘧麦（一两） 生干地黄（一两） 车前叶（一两） 滑石（一两） 川芒硝（一两）
以上药物，捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣，温服。如步行十里路程后再服一次，以病愈为度。
治疗血淋涩痛，宜服用此方。
榆白皮（三两，锉碎） 葵子（一合） 滑石（三两） 石苇（一两，去毛） 蘧麦（一两） 生干地黄（一两）
以上药物，捣碎过筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分，去渣，加入笔头灰二枚，搅拌均匀。每次在饭前温服。
治疗血淋，小便疼痛难以忍受，用黄芩散方。
黄芩（一两） 鸡苏（藿香，一两） 滑石（一两） 小蓟根（一两） 生干地黄（一两） 木通（一两，锉碎）
以上药物，捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣，每次在饭前温服。
治疗血淋出血不止，用鸡苏散方。
鸡苏（一两） 葵子（二两） 石膏（二两） 生干地黄（三两）
以上药物，捣碎并过粗筛制成散剂。每次服用四钱，用水一中盏，加入竹叶十四片，煎煮至六分，去渣，每次在饭前温服。
治疗血淋疼痛不止，用王不留行散方。
王不留行（一两） 甘遂（半两，煨至微黄） 葵子（一两半） 车前子（一两） 木通（一两，锉碎） 滑石（一两半） 赤芍药（半两） 桂心（肉桂心，半两） 蒲黄（半两） 当归（半两，锉碎，微炒）
以上药物，捣细并过细筛制成散剂。每次在饭前，用米粥汁调服一钱。
治疗血淋，心神烦躁，尿道中涩痛，无法安睡，用龙脑散方。
龙脑（冰片，一钱，细研） 腻粉（轻粉，一钱） 寒水石（半两） 白茅根（半两，锉碎） 黄连（半两，去须） 马牙硝（芒硝的一种，半两） 滑石（半两） 木通（半两，锉碎） 伏龙肝（灶心土，半两，细研）
以上药物，捣细并过细筛制成散剂。每次服用时，用竹叶汤调服一钱。如步行十里路程后再服一次。
治疗血淋，烦热涩痛，睡眠不安，用地龙散方。
地龙（蚯蚓，一两，微炒） 滑石（一两） 腻粉（轻粉，一钱） 麝香（一钱，细研） 自然铜（半两） 绿豆粉（三分）
以上药物，捣研均匀细腻。不拘时间，用甘草汤调服一钱。
治疗血淋心烦，尿道中涩痛，宜服用此方。
石燕（半两） 赤小豆（半两） 商陆子（商陆果实，半两） 红蓝花（红花，半两）
以上药物，捣细并过细筛制成散剂。每次在饭前，用葱白汤调服一钱。
又一方。
石苇（一两，去毛） 当归（一两，锉碎，微炒） 蒲黄（一两） 赤芍药（一两）
以上药物，捣细并过细筛制成散剂。每次在饭前，用温酒调服三钱。
又一方。
生干地黄（二两） 郁金（一两） 蒲黄（一两）
以上药物，捣细并过细筛制成散剂。每次在饭前，用车前子叶汤调服一钱。
又一方。
旱莲子（旱莲草，一两） 芭蕉根（一两）
以上药物细锉，用水两大盏，煎取一盏三分，去渣，饭前分三次服用。
治疗血淋，脐腹部及阴茎涩痛方。
岗谷树根皮（一两半） 桑黄（桑耳，一两半，微炙）
以上药物，捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣，不拘时间温服。
又一方。
金灯花（灯笼果，一两） 地柏花
以上药物阴干，捣碎并过粗筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣，每次在饭前温服。
又一方。
薜荔藤（一握） 甘草（一分，炙至微赤）
以上药物细锉，用水一大盏，煎煮至七分，去渣，饭前分两次服用。
又一方。
用上乌贼鱼骨（海螵蛸），捣细并过细筛制成散剂。每次在饭前，用地黄汁调服一钱。
又一方。
用上天灵盖（人顶骨），炙至黄色，捣细并过细筛制成散剂。每次在饭前，用新汲井水调服一钱。
又一方。
用上麻根十枚，捣碎，用水两大盏，煎取一大盏，去渣，分两次服用。如步行十里路程后再服一次。
Hematuria with dysuria (Xuelin) is a severe form of heat dysuria (Relin), characterized by blood in the urine, hence the name. The Heart governs the Blood. Blood circulates throughout the body, permeating the meridians and surrounding the Zang-Fu organs. Due to labor-induced heat, the Blood scatters and loses its normal course within the meridians, infiltrating the bladder (Pao) and resulting in hematuria with dysuria.
For treating hematuria with dysuria, where pain in the urination is unbearable, use the Bai Mao Gen San (White Imperata Root Powder) formula:
Bai Mao Gen (Rhizoma Imperatae Cylindricae, 1 liang, cut into pieces) Chi Shao Yao (Radix Paeoniae Rubrae, 3 fen) Hua Shi (Talcum, 1 liang) Mu Tong (Caulis Akebiae Trifoliate, 3 fen, cut into pieces) Zi Qin (Radix Scutellariae, 3 fen) Kui Zi (Semen Malvae, 1 liang) Che Qian Zi (Semen Plantaginis, 3 fen) Luan Fa Hui (Ash of Tangled Hair, 1 fen)
The above herbs are coarsely pounded, sifted through a coarse sieve to make a powder. Each dose consists of 3 qian. Boil with one zhong zhan (approx. 200-250ml) of water until reduced to 6/10. Strain and take warm. Administer another dose after walking approximately 5 kilometers (10 li). Continue until recovery.
For treating hematuria with dysuria and hematuria, where the urinary tract feels obstructed and painful throughout the meridians and organs, and severe heat causes blood to scatter from its normal channels leading to dysuria, it is appropriate to use the Qu Mai San (Fagopyrum Dibotrys Powder) formula:
Qu Mai (Fagopyrum Dibotrys, 1 liang) Che Qian Zi (Semen Plantaginis, 8 liang) Hua Shi (Talcum, 2 liang) Yu Jin (Radix Curcumae Longae, 1 liang) Luan Fa Hui (Ash of Tangled Hair, 0.5 liang) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, cut into pieces, lightly stir-fried) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 2 liang)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 2 qian before meals, mixed with decoction of white parts of Allium fistulosum (Congbai Tang).
For treating hematuria with dysuria and hematuria, where the urinary tract is obstructed and painful, use the Yu Jin San (Curcuma Longa Radix Powder) formula:
Yu Jin (Radix Curcumae Longae, 1 liang) Qu Mai (Fagopyrum Dibotrys, 1 liang) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang) Che Qian Ye (Folium Plantaginis, 1 liang) Hua Shi (Talcum, 1 liang) Chuan Mang Xiao (Natrii Sulfas, 1 liang)
The above herbs are coarsely pounded, sifted through a coarse sieve to make a powder. Each dose consists of 4 qian. Boil with one zhong zhan of water until reduced to 6/10. Strain and take warm. Administer another dose after walking approximately 5 kilometers (10 li). Continue until recovery.
For treating hematuria with dysuria and obstruction, use this formula:
Yu Bai Pi (Cortex Ulmi, 3 liang, cut into pieces) Kui Zi (Semen Malvae, 1 he) Hua Shi (Talcum, 3 liang) Shi Wei (Folium Pyrrosiae, 1 liang, remove hairs) Qu Mai (Fagopyrum Dibotrys, 1 liang) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang)
The above herbs are pounded and sifted to make a powder. Each dose consists of 5 qian. Boil with one da zhan (approx. 300-400ml) of water until reduced to 5/10. Strain, add two bi tou hui (ash of brush tips), mix well. Take warm before meals.
For treating hematuria with dysuria, where urination pain is unbearable, use the Huang Qin San (Scutellaria Baicalensis Root Powder) formula:
Huang Qin (Radix Scutellariae, 1 liang) Ji Su (Herba Elsholtziae, 1 liang) Hua Shi (Talcum, 1 liang) Xiao Ji Gen (Radix Cirsii Japonici, 1 liang) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang) Mu Tong (Caulis Akebiae Trifoliate, 1 liang, cut into pieces)
The above herbs are coarsely pounded, sifted through a coarse sieve to make a powder. Each dose consists of 3 qian. Boil with one zhong zhan of water until reduced to 6/10. Strain and take warm before meals.
For treating persistent hematuria with dysuria, use the Ji Su San (Elsholtzia Herb Powder) formula:
Ji Su (Herba Elsholtziae, 1 liang) Kui Zi (Semen Malvae, 2 liang) Shi Gao (Gypsum Fibrosum, 2 liang) Sheng Gan Di Huang (Radix Rehmanniae Preparata, 3 liang)
The above herbs are coarsely pounded, sifted through a coarse sieve to make a powder. Each dose consists of 4 qian. Boil with one zhong zhan of water, adding fourteen leaves of Zhuye (Bamboo Leaves), until reduced to 6/10. Strain and take warm before meals.
For treating unceasing pain from hematuria with dysuria, use the Wang Bu Liu Xing San (Vaccaria Seed Powder) formula:
Wang Bu Liu Xing (Semen Vaccariae, 1 liang) Gan Sui (Radix Euphorbiae Kansui, 0.5 liang, baked until slightly yellow) Kui Zi (Semen Malvae, 1.5 liang) Che Qian Zi (Semen Plantaginis, 1 liang) Mu Tong (Caulis Akebiae Trifoliate, 1 liang, cut into pieces) Hua Shi (Talcum, 1.5 liang) Chi Shao Yao (Radix Paeoniae Rubrae, 0.5 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Pu Huang (Pollinis Typhae, 0.5 liang) Dang Gui (Radix Angelicae Sinensis, 0.5 liang, cut into pieces, lightly stir-fried)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 1 qian before meals, mixed with congee liquid (Zhou Yin).
For treating hematuria with dysuria, accompanied by mental restlessness, obstructive pain in the urinary tract, and inability to sleep, use the Long Nao San (Borneolum Syntheticum Powder) formula:
Long Nao (Borneolum Syntheticum, 1 qian, finely ground) Ni Fen (Calomelas, 1 qian) Han Shui Shi (Halloysitum Rubrum, 0.5 liang) Bai Mao Gen (Rhizoma Imperatae Cylindricae, 0.5 liang, cut into pieces) Huang Lian (Rhizoma Coptidis, 0.5 liang, remove roots) Ma Ya Xiao (Natrii Sulfas crystallized, 0.5 liang) Hua Shi (Talcum, 0.5 liang) Mu Tong (Caulis Akebiae Trifoliate, 0.5 liang, cut into pieces) Fu Long Gan (Cauda Argillae Ustae, 0.5 liang, finely ground)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 1 qian each time, mixed with decoction of Bamboo Leaves (Zhuye Tang). Administer another dose after walking approximately 5 kilometers (10 li).
For treating hematuria with dysuria, featuring irritability, heat, obstructive pain, and restless sleep, use the Di Long San (Pheretima Powder) formula:
Di Long (Pheretima, 1 liang, lightly stir-fried) Hua Shi (Talcum, 1 liang) Ni Fen (Calomelas, 1 qian) She Xiang (Moschus, 1 qian, finely ground) Zi Ran Tong (Pyritum, 0.5 liang) Lv Dou Fen (Amylum Phaseoli Radiati, 3 fen)
The above herbs are pounded and ground uniformly and finely. Take 1 qian at any time, mixed with decoction of Gan Cao (Licorice Root).
For treating hematuria with dysuria, mental irritation, and obstructive pain in the urinary tract, use this formula:
Shi Yan (Lithostes, 0.5 liang) Chi Xiao Dou (Semen Phaseoli Angularis, 0.5 liang) Shang Lu Zi (Fructus Phytolaccae, 0.5 liang) Hong Lan Hua (Flos Carthami Tinctorii, 0.5 liang)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 1 qian before meals, mixed with decoction of white parts of Allium fistulosum (Congbai Tang).
Another prescription:
Shi Wei (Folium Pyrrosiae, 1 liang, remove hairs) Dang Gui (Radix Angelicae Sinensis, 1 liang, cut into pieces, lightly stir-fried) Pu Huang (Pollinis Typhae, 1 liang) Chi Shao Yao (Radix Paeoniae Rubrae, 1 liang)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 3 qian before meals, mixed with warm wine.
Another prescription:
Sheng Gan Di Huang (Radix Rehmanniae Preparata, 2 liang) Yu Jin (Radix Curcumae Longae, 1 liang) Pu Huang (Pollinis Typhae, 1 liang)
The above herbs are finely pounded, sifted through a fine sieve to make a powder. Take 1 qian before meals, mixed with decoction of Che Qian Zi and leaves.
Another prescription:
Han Lian Zi (Herba Ecliptae, 1 liang) Ba Jiao Gen (Radix Musa Basjoo, 1 liang)
Cut the herbs finely. Boil with two da zhan of water until reduced to 1.3 da zhan. Strain. Divide into three doses before meals.
For treating hematuria with dysuria, causing obstructive pain in the umbilical/abdominal region and penis, use this formula:
Gang Gu Shu Gen Pi (Cortex Machaeri Sagittatae, 1.5 liang) Sang Huang (Fomes Officinalis on Mulberry, 1.5 liang, lightly roasted)
The above herbs are coarsely pounded, sifted through a coarse sieve to make a powder. Take 3 qian. Boil with one zhong zhan of water until reduced to 6/10. Strain and take warm at any time.
Another prescription:
Jin Deng Hua (Physalis alkekengi flower, 1 liang) Di Bai Hua (Unknown herb, likely related to Juniper or similar)
Dry the herbs in shade, coarsely pound, and sift through a coarse sieve to make a powder. Take 3 qian. Boil with one zhong zhan of water until reduced to 6/10. Strain and take warm before meals.
Another prescription:
Bi Li Teng (Caulis Fici Pumilae, one handful) Gan Cao (Radix Glycyrrhizae, 1 fen, roasted until slightly red)
Cut the herbs finely. Boil with one da zhan of water until reduced to 7/10. Strain. Divide into two doses before meals.
Another prescription:
Use Ou Ze Yu Gu (Cutula Sepiae, 1 liang). Pound finely and sift through a fine sieve to make a powder. Take 1 qian before meals, mixed with juice of Di Huang (Rehmannia).
Another prescription:
Use Tian Ling Gai (Vertex Cranii Humanum). Roast until yellow, pound finely, and sift through a fine sieve to make a powder. Take 1 qian before meals, mixed with fresh well water.
Another prescription:
Use Ma Gen (Root of Hemp, 10 pieces). Pound into pieces, boil with two da zhan of water until reduced to one da zhan. Strain. Divide into two doses. Administer another dose after walking approximately 5 kilometers (10 li).
Another prescription:
Use Wan Can E (Morus Bombyx Moth). Grind into powder. Take 2 qian before meals, mixed with hot wine.